Indirect Reduction and Intramedullary Pinning in Severely Displaced Radial Neck Fractures in Children

Ashish Devgan, Raj Singh, Suresh Kumar, Vinit Verma, NK Magu, RC Siwach

.

DOI: 10.4236/ijcm.2011.22014                

Abstract

Fractures of the radial neck account for 5-10% of traumatic lesions of the elbow in the child. Conservative method of reduction may fail to reduce severely displaced fractures. Open reduction of severely displaced radial neck fractures is associated with a high incidence of complications. The present study describes the results achieved after closed and indirect reduction of the severely displaced radial head using a 2-mm K-wire passed intramedullary from near the radial styloid. The bent tip of the K-wire was used to manipulate the displaced head back to the shaft without opening the fracture site. The indirect reduction of the radial head using bent intramedullary K-wire is a simple, minimally invasive method, easy to perform, and obtains encouraging results with few complications. Intramedullary pin also achieves fixation of the radial head after reduction and prevents its secondary displacement.

Keywords

Intramedullary Pinning, Radial Neck Fracture

Conflicts of Interest

The authors declare no conflicts of interest.

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